Individual provider Active NPI

Mayra I Melendez, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1255317327
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26438 Issued in AZ
Practice address
70 N Harrison Rd
Tucson, AZ 85748-3260
Phone
(520) 324-4403
Fax
(520) 324-1409
NPI assigned
Dec 20, 2005
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26438 AZ Primary

Addresses

Primary practice location

70 N Harrison Rd
Tucson, AZ 85748-3260

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4100

Other practice location 1

10350 E Drexel Rd Unit 110
Tucson, AZ 85747-9409
Phone (520) 324-1727

Other practice location 2

9356 E Rita Rd Ste 180
Tucson, AZ 85747-6318
Phone (520) 324-4499

Other identifiers 1

IdentifierTypeStateIssuer
424060MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000594 AZ Practitioner - Internal Medicine 8224167259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

70 N Harrison Rd
Tucson, AZ 85748-3260
Phone (520) 324-4403

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Jan 1, 2018 Accepting new patients

Locations

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2424 N Wyatt Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-2778

4881 E Grant Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2414

70 N Harrison Rd
Tucson, AZ 85748
Phone (520) 324-4403

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1255317327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4100",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857483260",
            "telephone_number": "520-324-4403",
            "fax_number": "520-324-1409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 E Drexel Rd Unit 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479409",
            "country_code": "US",
            "telephone_number": "520-324-1727",
            "fax_number": "520-324-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9356 E Rita Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857476318",
            "country_code": "US",
            "telephone_number": "520-324-4499",
            "fax_number": "520-324-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MAYRA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424060",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.